Organization
LEGACY MENTAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARMEKA WHITEHEAD PH.D. (PSYCHOLOGIST)
(248) 506-9344
Entity
Organization
Contact information
Practice address
13741 PEARSON ST, OAK PARK, MI 48237-2761
(248) 506-9344
Mailing address
13741 PEARSON ST, OAK PARK, MI 48237-2761
(248) 506-9344
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
630104388
MI
251S00000X
Community/Behavioral Health Agency
Primary
630104388
MI
Other
Enumeration date
01/27/2014
Last updated
03/26/2026
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